Résumé
This is a translation into Spanish, done by Mario Uribe, M.D., F.A.C.S., and authorized by the Conference Organization, of the official statements signed by The Transplantation Society, The International Society of Nephrology and the representatives who participated at a WHO sponsored Conference held in Istambul, Turkey, April 30 to May 2, 2008.
Sujets)
Humains , Acquisition d'organes et de tissus/législation et jurisprudence , Acquisition d'organes et de tissus/éthique , Transplantation d'organe/législation et jurisprudence , Transplantation d'organe/éthique , Donneur vivant/législation et jurisprudence , Donneur vivant/ressources et distribution , Donneur vivant/éthique , Traductions , Turquie , Organisation mondiale de la santéRésumé
Since the first liver resection was carried out in Korea in 1959, there have been remarkable changes in the field of surgery. With technical advancement and the improvement of perioperative care, liver resections are widely performed and surgical mortality is approaching zero. In the early 1990s, liver transplantation evolved as a feasible option in the treatment of end-stage liver disease in Korea, with successful adult living-donor liver transplantation (LDLT) as one of the greatest achievements. Various innovations in surgical approaches have been introduced. We review the current status of hepatic surgery in liver disease in Korea.
Sujets)
Humains , Hépatectomie/histoire , Histoire du 20ème siècle , Corée , Transplantation hépatique/histoire , Donneur vivant/ressources et distributionRésumé
Since the first liver resection was carried out in Korea in 1959, there have been remarkable changes in the field of surgery. With technical advancement and the improvement of perioperative care, liver resections are widely performed and surgical mortality is approaching zero. In the early 1990s, liver transplantation evolved as a feasible option in the treatment of end-stage liver disease in Korea, with successful adult living-donor liver transplantation (LDLT) as one of the greatest achievements. Various innovations in surgical approaches have been introduced. We review the current status of hepatic surgery in liver disease in Korea.
Sujets)
Humains , Hépatectomie/histoire , Histoire du 20ème siècle , Corée , Transplantation hépatique/histoire , Donneur vivant/ressources et distributionRésumé
Having enjoyed considerable success in kidney transplantation in recent years, Iran has been named the most active country in the Middle East Society for Organ Transplantation region in providing equitable quick, and intermediary-free access to affordable kidney transplantation for everyone regardless of gender and economic circumstances. We are, however, of the opinion that the Iranian model can benefit further from improving deceased-donor kidney transplantation, especially after a fatwa (Islamic edict) in the early 1980s lifted many religious and legal barriers. Deceased-donor kidney transplantation in Iran should be bolstered by establishing a transplantation model, increasing government funds, and encouraging participation of the general public in the Iranian Network for Transplant Organ Procurement. We recommend that an intensive media campaign be launched to heighten public awareness and more transplantation centres be involved in cadaveric transplantation with streamlined systems of cadaveric donations registration so as to facilitate the process of finding and relating the donors with potential recipients.
Sujets)
Altruisme , Attitude envers la santé , Mort cérébrale/diagnostic , Cadavre , Oeuvres de bienfaisance , Financement du gouvernement/organisation et administration , Éducation pour la santé/organisation et administration , Besoins et demandes de services de santé , Humains , Iran , Islam , Transplantation rénale/méthodes , Donneur vivant/ressources et distribution , Mass-médias , Modèles d'organisation , Motivation , Enregistrements , Religion et psychologie , Acquisition d'organes et de tissus/organisation et administration , Listes d'attenteRésumé
El objetivo de este estudio fue conocer el riesgo (mortalidad y morbilidad) de las nefrectomías de donante vivo realizadas en el Hospital Militar de Santiago (Hosmil). Revisión retrospectiva de 33 nefrectomías de donante vivo realizadas por lumbotomía, en el Servicio de Urología del Hospital Militar entre enero de 1983 y diciembre de 2001. Se revisan características de los pacientes, de la cirugía y el desarrollo de complicaciones peri operatorias. En la serie tuvimos una complicación mayor (3,0 porciento): desgarro esplénico, que requirió de esplenectomía, y 8 complicaciones menores en 7 donantes (21,2 porciento): 2 neumotórax (6,1 porciento), 2 infecciones de herida operatoria (6,1 porciento), 1 neumonía (3,0 porciento), 1 bronquitis aguda febril (3,0 porciento), 1 seroma (3,0 porciento) y 1 infección urinaria(3,0 porciento). No hubo mortalidad en los donantes. El análisis univariado identificó que los donantes de sexo masculino tenían una tendencia a presentar un mayor índice de complicaciones (p=0,051). La nefrectomía de donante vivo puede ser realizada con una baja tasa de complicaciones mayores y sin riesgo vital. Nuestra tasa de complicaciones es comparable a otras series publicadas.